Male Death Registration: Year: 1971 number: 2777
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002777
1. PLACE OF DEATH County of Hants If in City or Town Eastern Passage
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Havers, Leslie Arthur
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Norwich, England
9. DATE OF BIRTH 5 9, 1927
10. AGE in Years43 Months11 Days1 | hrs or mins
11. Trade or profession Superintendant
12. Kind of industry Halifax County Hospital
13. Date last worked 1971 14. Total years 2 yrs
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Halifax County Home Records
address Cole Harbour, Halifax Co. NS
Relationship to deceased
21. Place of burial Saint John, NB
Date of burial April 14, 1971
22. Undertaker Mattatalls Funeral Service Ltd, Dartmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 10, 1971
CAUSE OF DEATH
(a) Carbon Monoxide poisoning
(b)
(c)
other Accident: body found in garage
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494854
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